Aspectos da tomografia computadorizada craniana na neurocisticercose na infância

Guerreiro, Marilisa M.; Facure, Nubor O.; Guerreiro, Carlos A. M.

doi:10.1590/S0004-282X1989000200005

Resumos

Os autores relatam aspectos tomográficos da neurocisticercose na infância a propósito da análise de 27 exames em 18 pacientes, que foram distribuídos em três grupos segundo o quadru clínico e os achados tomográficos. O grupo 1 foi caracterizado basicamente por epilepsias e calcificações. O grupo 2 caracterizou-se por hipertensão intracraniana e diversos aspectos tomográficos: edema, cistos e nódulos em três pacientes; hidrocefalia e calcificações em dois pacientes e normal em um paciente. O grupo 3 consistiu clinicamente de epilepsia e cefaléia, com vários padrões tomográficos. Os resultados são discutidos à luz da literatura disponível.

The authors present the analysis of 27 computed tomography scans (CT) of 18 children which were divided in three groups according to clinical and tomographic criteria. Group 1 was characterized mainly by epilepsy and calcifications. Group 2 was characterized by intracranial hypertension and several tomographic aspects: edema, cysts and nodules were seen in three patients; hydrocephaly and calcifications were seen in two patients and CT was normal in one patient. Group 3 had patients with epilepsy or headache and variable tomographic patterns. The results are discussed based on the available literature.

Aspectos da tomografia computadorizada craniana na neurocisticercose na infância

Cranial computerized tomography aspects of neurocysticercosis in infancy

Marilisa M. Guerreiro^I; Nubor O. Facure^II; Carlos A. M. Guerreiro^I

^IDepartamento de Neurologia da Faculdade de Ciências Médicas (FCM) da Universidade Estadual de Campinas (UNICAMP): Professor Assistente

^IIDepartamento de Neurologia da Faculdade de Ciências Médicas (FCM) da Universidade Estadual de Campinas (UNICAMP): Professor Adjunto

RESUMO

Os autores relatam aspectos tomográficos da neurocisticercose na infância a propósito da análise de 27 exames em 18 pacientes, que foram distribuídos em três grupos segundo o quadru clínico e os achados tomográficos. O grupo 1 foi caracterizado basicamente por epilepsias e calcificações. O grupo 2 caracterizou-se por hipertensão intracraniana e diversos aspectos tomográficos: edema, cistos e nódulos em três pacientes; hidrocefalia e calcificações em dois pacientes e normal em um paciente. O grupo 3 consistiu clinicamente de epilepsia e cefaléia, com vários padrões tomográficos. Os resultados são discutidos à luz da literatura disponível.

SUMMARY

The authors present the analysis of 27 computed tomography scans (CT) of 18 children which were divided in three groups according to clinical and tomographic criteria. Group 1 was characterized mainly by epilepsy and calcifications. Group 2 was characterized by intracranial hypertension and several tomographic aspects: edema, cysts and nodules were seen in three patients; hydrocephaly and calcifications were seen in two patients and CT was normal in one patient. Group 3 had patients with epilepsy or headache and variable tomographic patterns. The results are discussed based on the available literature.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Este trabalho contou com o apoio financeiro de FAP - Fundo de Apoio à Pesquisa da UNICAMP, para a realização de tomografias computadorizadas cranianas.

Departamento de Neurologia, FCM, UNICAMP - Caixa Postal 6111 - 13081 Campinas SP - Brasil.

1. Byrd SE, Locke GE, Biggers S, Percy AK - The computed tomographic appearance of cerebral cysticercosis in adults and children. Radiology 144:819, 1982.
2. Byrd SE, Percy AK, Locke GE, Smart-Abbey V - The parenchymal form of cerebral cysticercosis. Diagn Imaging 50:201, 1981.
3. Cárdenas Y, Cárdenas J - Cysticercosis: II. Pathologic and radiologic findings. J Neurosurg 19:635, 1962.
4. Dawood AA, Moosa A - Cerebral cysticercosis in children. J Trop Pediatrics 30:136, 1984.
5. Estañol B, Corona T, Abad P - A prognostic classification of cerebral cysticercosis: therapeutic implications. J Neurol Neurosurg Psychiat 49:1131, 1986.
6. López-Hernández A - Clinical manifestations and sequential computed tomography scans of cerebral cysticercosis in childhood. Brain Dev 5:269, 1983.
7. López-Hernández A, Garaizar C - Childhood cerebral cysticercosis: clinical features and computed tomographic findings in 89 mexican children. J Canad Sci Neurol 9:401, 1982.
8. Manreza MLG - Neurocisticercose na infância: aspectos clínicos e do diagnóstico. Dissertação de Mestrado. Fac Med Univ São Paulo. São Paulo, 1981.
9. Mehringer CM, Hieshima G, Grinnell VS, Cobb SR, Zee CS, Tsai FY - Radiologio considerations in neurocysticercosis. Bull Clin Neurosci 48:24, 1983.
10. Mervis B, Lotz JW - Computed tomography (CT) in parenchymatous cerebral cysticer-cosis. Clin Radiol 31:521, 1980.
11. Minguetti G, Ferreira MVC - Computed tomography in neurocysticercosis. J Neurol Neurosurg Psychiat 46:936, 1983.
12. Nash TE, Neva FA - Recent advances in the diagnosis and treatment of cerebral cysticercosis. N Engl J Med 311: 1492, 1984.
13. Percy AK, Byrd SE, Locke GE - Cerebral cysticercosis. Pediatrics 66:967, 1980.
14. Quagliato EMAB - Forma epiléptica da cisticercose encefálica: análise de 96 casos. Tese. Fac Ciências Méd Univ Est Campinas. Campinas, 1987.
15. Rodríguez JC, Gutiérrez RA, Valdés OD, Dorfsman JF - The role of computed axial tomography in the diagnosis and treatment of brain inflammatory and parasitic lesions: our experience in Mexico. Neuroradiology 16:458, 1978.
16. Rodríguez-Carbajal J, Palacios E, Azar-Kia B, Churchill R - Radiology of cysticercosis of the central nervous system including computed tomography. Radiology 125: 127, 1977.
17. Sotelo J, Guerrero V, Rubio F - Neurocysticercosis: a new classification based on active and inactive forms. Arch Intern Med 145:442, 1985.

Datas de Publicação

Publicação nesta coleção
06 Jun 2011
Data do Fascículo
Jun 1989

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Byrd SE, Locke GE, Biggers S, Percy AK - The computed tomographic appearance of cerebral cysticercosis in adults and children. Radiology 144:819, 1982.

[2] 2. Byrd SE, Percy AK, Locke GE, Smart-Abbey V - The parenchymal form of cerebral cysticercosis. Diagn Imaging 50:201, 1981.

[3] 3. Cárdenas Y, Cárdenas J - Cysticercosis: II. Pathologic and radiologic findings. J Neurosurg 19:635, 1962.

[4] 4. Dawood AA, Moosa A - Cerebral cysticercosis in children. J Trop Pediatrics 30:136, 1984.

[5] 5. Estañol B, Corona T, Abad P - A prognostic classification of cerebral cysticercosis: therapeutic implications. J Neurol Neurosurg Psychiat 49:1131, 1986.

[6] 6. López-Hernández A - Clinical manifestations and sequential computed tomography scans of cerebral cysticercosis in childhood. Brain Dev 5:269, 1983.

[7] 7. López-Hernández A, Garaizar C - Childhood cerebral cysticercosis: clinical features and computed tomographic findings in 89 mexican children. J Canad Sci Neurol 9:401, 1982.

[8] 8. Manreza MLG - Neurocisticercose na infância: aspectos clínicos e do diagnóstico. Dissertação de Mestrado. Fac Med Univ São Paulo. São Paulo, 1981.

[9] 9. Mehringer CM, Hieshima G, Grinnell VS, Cobb SR, Zee CS, Tsai FY - Radiologio considerations in neurocysticercosis. Bull Clin Neurosci 48:24, 1983.

[10] 10. Mervis B, Lotz JW - Computed tomography (CT) in parenchymatous cerebral cysticer-cosis. Clin Radiol 31:521, 1980.

[11] 11. Minguetti G, Ferreira MVC - Computed tomography in neurocysticercosis. J Neurol Neurosurg Psychiat 46:936, 1983.

[12] 12. Nash TE, Neva FA - Recent advances in the diagnosis and treatment of cerebral cysticercosis. N Engl J Med 311: 1492, 1984.

[13] 13. Percy AK, Byrd SE, Locke GE - Cerebral cysticercosis. Pediatrics 66:967, 1980.

[14] 14. Quagliato EMAB - Forma epiléptica da cisticercose encefálica: análise de 96 casos. Tese. Fac Ciências Méd Univ Est Campinas. Campinas, 1987.

[15] 15. Rodríguez JC, Gutiérrez RA, Valdés OD, Dorfsman JF - The role of computed axial tomography in the diagnosis and treatment of brain inflammatory and parasitic lesions: our experience in Mexico. Neuroradiology 16:458, 1978.

[16] 16. Rodríguez-Carbajal J, Palacios E, Azar-Kia B, Churchill R - Radiology of cysticercosis of the central nervous system including computed tomography. Radiology 125: 127, 1977.

[17] 17. Sotelo J, Guerrero V, Rubio F - Neurocysticercosis: a new classification based on active and inactive forms. Arch Intern Med 145:442, 1985.